Individual
LUSELDI JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43 WOODLAND ST, HARTFORD, CT 06105-2363
(888) 793-3500
Mailing address
43 WOODLAND ST, HARTFORD, CT 06105-2363
(888) 793-3500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/17/2021
Last updated
07/22/2022
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